Doctor profile · Federal record

Dr. MARY MATHIS, PA-C

Physician Assistant · SAINT JOHNS, FL

  • NPI 1053446690
  • Accepts Medicare
  • MIPS 88.8 / 100 · 2023
  • 20 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1310 COUNTY ROAD 210 W
SAINT JOHNS, FL 32259
(904) 824-4407
fax (904) 390-7459
Mailing address
PO BOX 746638
ATLANTA, GA 303746638

Credentials & registration

NPPES · NUCC
NPI registered
February 2007 — 19 yrs on file
Profile last updated
August 15, 2023
Year of graduation
2006 — 20 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Florida #PA9103761

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1053446690. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
115
Distinct HCPCS
3
Medicare allowed
$11,075
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 91 71 $107
36415 Insertion of needle into vein for collection of blood sample 13 13 $8
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 11 11 $108

In context: peer comparison

Among 2 peers in this city , average services per provider: 40. This provider delivers 2.9× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$981
Transactions
53
Manufacturers
12
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 24 $392.54
Novo Nordisk Inc 11 $136.50
ViiV Healthcare Company 1 $107.00
Lilly USA, LLC 3 $63.94
Amgen Inc. 3 $50.98
Phathom Pharmaceuticals, Inc. 2 $47.36
Exact Sciences Corporation 2 $46.63
GlaxoSmithKline, LLC. 2 $43.66
PFIZER INC. 2 $41.54
Dynavax Technologies Corporation 1 $19.48
Salix Pharmaceuticals, a division of Bausch Health US, LLC 1 $18.02
Medtronic, Inc. 1 $13.80

By nature of payment

Food and Beverage
$981

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
398
Patients
140
Total drug cost
$22,260
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 45 24 $594
Lisinopril Generic 45 13 $237
Amlodipine Besylate Generic 38 15 $357
Rosuvastatin Calcium Generic 37 15 $475
Hydrochlorothiazide Generic 33 11 $180
Omeprazole Generic 32 12 $446
Levothyroxine Sodium Generic 25 11 $573
Metoprolol Succinate Generic 25 12 $400
Simvastatin Generic 25 11 $185
Alprazolam Generic 17 0 $92

Hospital affiliations

CMS Hospital Compare